[Acute Neurointerventions, Covid-19 and Chest-CT: SOP and Literature Review].

Notfällige Neurointerventionen, Covid-19 und Thorax-CT: SOP und Literaturübersicht.

Journal

Clinical neuroradiology
ISSN: 1869-1447
Titre abrégé: Clin Neuroradiol
Pays: Germany
ID NLM: 101526693

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 21 04 2020
accepted: 27 04 2020
pubmed: 10 5 2020
medline: 10 9 2020
entrez: 9 5 2020
Statut: ppublish

Résumé

To analyze standard operating procedures (SOP) of acute stroke imaging and interventions during COVID-19 pandemic with special emphasis on chest CT within a multimodal stroke protocol. A questionnaire was distributed via email to members of the Professional Organization of German Neuroradiologists (Berufsverband Deutscher Neuroradiologen e.V.). Answers were received from 25 units: eleven of them acquire chest CT, three in any patient and eight, when COVID-19 is suspected due to body temperature increase, patient's history or when the latter cannot be sufficiently obtained. Preliminary data indicate a high sensitivity and moderate negative predictive value. Different SOP reflect an uncertainty whether chest CT should be acquired as part of a multimodal stroke protocol. Accuracy of low dose chest CT cannot be determined yet. The strengths and limitations of chest CT are discussed.

Sections du résumé

BACKGROUND AND PURPOSE OBJECTIVE
To analyze standard operating procedures (SOP) of acute stroke imaging and interventions during COVID-19 pandemic with special emphasis on chest CT within a multimodal stroke protocol.
METHODS METHODS
A questionnaire was distributed via email to members of the Professional Organization of German Neuroradiologists (Berufsverband Deutscher Neuroradiologen e.V.).
RESULTS RESULTS
Answers were received from 25 units: eleven of them acquire chest CT, three in any patient and eight, when COVID-19 is suspected due to body temperature increase, patient's history or when the latter cannot be sufficiently obtained. Preliminary data indicate a high sensitivity and moderate negative predictive value.
CONCLUSION CONCLUSIONS
Different SOP reflect an uncertainty whether chest CT should be acquired as part of a multimodal stroke protocol. Accuracy of low dose chest CT cannot be determined yet. The strengths and limitations of chest CT are discussed.

Identifiants

pubmed: 32382877
doi: 10.1007/s00062-020-00911-4
pii: 10.1007/s00062-020-00911-4
pmc: PMC7204189
doi:

Types de publication

Journal Article Review

Langues

ger

Sous-ensembles de citation

IM

Pagination

447-452

Références

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Auteurs

Horst Urbach (H)

Klinik für Neuroradiologie, Universitätsklinik Freiburg, Breisacher Str. 64, 79106, Freiburg, Deutschland. horst.urbach@uniklinik-freiburg.de.

Hendrik Janssen (H)

Institut für Neuroradiologie, Klinikum Ingolstadt, Ingolstadt, Deutschland.

Jennifer Linn (J)

Institut für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum Dresden, Dresden, Deutschland.

Titus Hoffmann (T)

Institut für Neuroradiologie, Universitätsmedizin Leipzig, Leipzig, Deutschland.

Stephanie Tritt (S)

Institut für Radiologie und Neuroradiologie, Wiesbaden, Deutschland.

Werner Weber (W)

Institut für Diagnostische und Interventionelle Radiologie, Neuroradiologie und Nuklearmedizin, Universitätsklinikum Knappschaftskrankenhaus Bochum, Bochum, Deutschland.

Martin Wiesmann (M)

Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum Aachen, Aachen, Deutschland.

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Classifications MeSH